EP 20. Contralesional Cathodal tDCS versus dual-tDCS for decreasing upper limb spasticity in chronic stroke individuals: A clinical and neurophysiological study

2016 ◽  
Vol 127 (9) ◽  
pp. e241-e242 ◽  
Author(s):  
A. Del Felice ◽  
V. Daloli ◽  
S. Masiero ◽  
P. Manganotti
Keyword(s):  
Upper Limb ◽  
Chronic Stroke ◽  
Neurophysiological Study ◽  
Cathodal Tdcs ◽  
Limb Spasticity

Effect of Shock Wave Therapy on Upper Limb Spasticity in Chronic Stroke

2010 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
Sang Hyun Kim ◽  
Hyun Seok ◽  
Sunwoo Kim
Keyword(s):  
Shock Wave ◽  
Upper Limb ◽  
Chronic Stroke ◽  
Shock Wave Therapy ◽  
Limb Spasticity

scholarly journals Functional Brain Correlates of Upper Limb Spasticity and Its Mitigation following Rehabilitation in Chronic Stroke Survivors

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Svetlana Pundik ◽  
Adam D. Falchook ◽  
Jessica McCabe ◽  
Krisanne Litinas ◽  
Janis J. Daly
Keyword(s):  
Motor Function ◽  
Upper Limb ◽  
Muscle Tone ◽  
Hand Movement ◽  
Chronic Stroke ◽  
Motor Deficits ◽  
Stroke Survivors ◽  
Functional Brain ◽  
Brain Correlates ◽  
Limb Spasticity

Background.Arm spasticity is a challenge in the care of chronic stroke survivors with motor deficits. In order to advance spasticity treatments, a better understanding of the mechanism of spasticity-related neuroplasticity is needed.Objective.To investigate brain function correlates of spasticity in chronic stroke and to identify specific regional functional brain changes related to rehabilitation-induced mitigation of spasticity.Methods.23 stroke survivors (>6 months) were treated with an arm motor learning and spasticity therapy (5 d/wk for 12 weeks). Outcome measures included Modified Ashworth scale, sensory tests, and functional magnetic resonance imaging (fMRI) for wrist and hand movement.Results.First, at baseline, greater spasticity correlated with poorer motor function (P=0.001) and greater sensory deficits (P=0.003). Second, rehabilitation produced improvement in upper limb spasticity and motor function (P<0.0001). Third, at baseline, greater spasticity correlated with higher fMRI activation in the ipsilesional thalamus (rho=0.49,P=0.03). Fourth, following rehabilitation, greater mitigation of spasticity correlated with enhanced fMRI activation in the contralesional primary motor (r=-0.755,P=0.003), premotor (r=−0.565,P=0.04), primary sensory (r=−0.614,P=0.03), and associative sensory (r=−0.597,P=0.03) regions while controlling for changes in motor function.Conclusions.Contralesional motor regions may contribute to restoring control of muscle tone in chronic stroke.

Chronic stroke survivors with upper limb spasticity: linking experience to the ICF

2021 ◽  
pp. 1-13
Author(s):  
Shannon Pike ◽  
Natasha A. Lannin ◽  
Lisa Cameron ◽  
Mithu Palit ◽  
Anne Cusick
Keyword(s):  
Upper Limb ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Limb Spasticity
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